Healthcare Provider Details

I. General information

NPI: 1447061007
Provider Name (Legal Business Name): CAREFORWARD HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2025
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14731 INDEPENDENCE DR
PLAINFIELD IL
60544-2769
US

IV. Provider business mailing address

1147 BROOK FOREST AVE UNIT 730
SHOREWOOD IL
60404-8845
US

V. Phone/Fax

Practice location:
  • Phone: 312-600-4404
  • Fax: 312-600-4470
Mailing address:
  • Phone: 312-600-4404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: IBIANG OBETEN
Title or Position: ORGANIZATION CORDINATOR
Credential: MBA
Phone: 312-600-4404